Mateus José Eduardo, Silva Carlos, Beirão Sofia, Pimentel Jorge
Serviço de Medicina Interna A. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
Acta Med Port. 2018 May 30;31(5):276-279. doi: 10.20344/amp.9662.
Although foreign body ingestion is a common occurrence, perforation and penetration of the gastrointestinal tract is unusual and the development of a hepatic abscess is even more rare. The authors describe two cases of fish bone perforation of the gastrointestinal tract with hepatic perforation and abscess formation, from distinctive age groups and varying presentation, although both developed septic shock. The lack of history of ingestion of foreign bodies, non-specificity of both clinical presentation and complementary examinations all play a role in delaying the diagnosis and therefore in the prognosis itself.
尽管异物摄入很常见，但胃肠道穿孔和穿透并不常见，肝脓肿的形成更为罕见。作者描述了两例胃肠道鱼骨穿孔伴肝穿孔和脓肿形成的病例，患者来自不同年龄组，表现各异，尽管两人均发展为感染性休克。缺乏异物摄入史、临床表现和辅助检查的非特异性均在延迟诊断以及因此在预后本身方面发挥了作用。
